| Organization Name: | SALT CITY PHYSICAL THERAPY, PLLC |
| NPI Number: | 1225330392 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD JOSEPH CARDI (SOLE MEMBER) |
| Mailing Address: | 5795 Widewaters Parkway Suite 1a Dewitt |
| State: | NY US |
| Postal Code: | 132141846 |
| Phone Number: | 3152001800 |
| Fax Number: | 3152001802 |
| NPI Enumeration Date: | 11/23/2010 |
| NPI Last Update Date: | 04/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 021825 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |